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Cygnus Matrix

Pennsylvania rates for HCPCS Q4199

Cygnus matrix, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does Cygnus Matrix cost?

$126

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $316 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$112 to $372
FacilityA hospital or hospital-owned outpatient department$316$182 to $457

How much rates vary

Facilitymedian $316 · 10th to 90th $126 to $490Professionalmedian $126 · 10th to 90th $112 to $389
$200$1K$5K$20Kfacility $316professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$389.05
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$213.80
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$338.84
Typical High
$407.38
Geisinger
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$151.36
Typical High
$208.93
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$354.81
Typical High
$537.03
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$281.84
Typical High
$371.54
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$371.54
Typical High
$371.54
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$165.96

Where Pennsylvania sits

The same service costs 3.9 times more in Hawaii than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 25th of 51

$126

HI $437KY $112

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.